ICD-10 Changes for 2021
The ICD-10-CM update for 2021 became effective on October 1, 2020. The 2021 edition contains 72,616 codes that includes 490 additions, 47 code revisions and 58 deletions. There are also 162 new headers along with [...]
Medicare Contractor Proposes Changes to Coverage Policy for Percutaneous Vertebral Augmentation (PVA)
The Medicare Administrative Contractor, National Government Services, Inc.(NGS), released a future Local Coverage Determination for PVA Osteoporotic Vertebral Compression Fractures effective December 1, 2019. The new coverage policy poses increased clinical inclusion and exclusion criteria [...]
Understanding the CMS Proposal for Opioid Treatment Services
AAPM members have asked about the impact on their practices of the CMS proposal for opioid treatment services. Starting January 1, 2020 the Centers for Medicare & Medicaid Services (CMS) plans to pay Opioid Treatment [...]
Understanding CPT, RUC and the 2020 Proposed Rule
This article provides additional information on the background and processes used to value services in the Proposed Rule for the 2020 Physician Fee Schedule, including the advocacy efforts with CMS and RUC by AAPM and [...]
Understanding CPT, RUC and the 2020 Proposed Rule
This article provides additional information on the background and processes used to value services in the Proposed Rule for the 2020 Physician Fee Schedule, including the advocacy efforts with CMS and RUC by AAPM and [...]
Understanding CPT, RUC and the 2020 Proposed Rule
The Proposed Rule for the 2020 Physician Fee Schedule proposes values for intrathecal/epidural pump procedures (CPT codes 62367-62370), the new codes for injection and ablation of genicular nerves (temporary CPT 64XX0 and 64XX1) and sacroiliac [...]
CMS Releases Proposed Rule for the 2020 Physician Fee Schedule
On July 29, 2019, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that includes proposals to update payment policies, payment rates, and quality provisions for services furnished under the Medicare Physician [...]
CMS Proposes Payment for Acupuncture
CMS has announced a proposal to cover acupuncture for certain Medicare patients with chronic low back pain (CLBP). To be covered, patients must be enrolled participants either in clinical trials sponsored by the National Institutes [...]
ICD-10 Changes for 2020 Released
The ICD-10-CM update for 2020 has been released. The 2020 ICD-10-CM codes are to be used from October 1, 2019 through September 30, 2020. The 2020 edition contains 273 additions, 30 code revisions and 21 [...]
ICD-11: What It Means for Your Practice
The World Health Organization (WHO) adopted the eleventh revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-11) at its World Health Assembly meeting in May 2019. It addition to other major [...]